PROVIDER CREDENTIALING
Provider credentialing, automated end-to-end.
Automated provider credentialing with NCQA-certified CVO. From application to approval in days, not months. 99.8% file accuracy, 90-day go-live, and end-to-end workflow built for health plan operations.
- End-to-end provider credentialing on one platform
- 99.8% file accuracy with real-time Primary Source Verification (PSV) and monitoring, under 5-day turnaround
- From months to days — trusted by Oscar, Alma, Select Health, dozens of regional health plans, and eight of the ten publicly traded health plans in the United States
Book a 20-minute demo
See provider credentialing automation in action — from application to approval in days.
Trusted by leading health plans, digital health companies, and provider networks
Provider credentialing — by the numbers
- 99.8%file-level accuracy at Select Health
- 70%reduction in credentialing turnaround time
- 90days from contract to first credentialed file
- 8of the 10 publicly listed US Health Plans are CertifyOS Clients.
THE PROBLEM
Provider credentialing still runs on spreadsheets.
Health Plans still track active credentialing files in excel or battle with manually hunting for primary source information - even with a CVO contract in place.
PSV happens in one system. Committee review happens in email. Payer enrollment happens in a separate portal. The result: 90-180 day onboarding cycles, providers who can't bill, and credentialing teams burning out chasing missing data. CertifyOS automates the whole process on one platform.
Five capabilities every credentialing team needs.
Real-time PSV
Direct API integrations with NPDB, CAQH, NPPES, OIG, SAM, and state license boards. Real verifications in minutes, not days.
Committee workflow
Built-in committee review with electronic file packets, voting workflows, and full audit trail. Replace email-driven committee management.
Integrated Provider Portal
The Industries only Integrated Provider Portal to streamline provider onboarding and eligibility in a single provider data system.
Ongoing monitoring
Continuous monitoring of license, DEA, NPDB, OIG, and SAM across 50 states. Real-time sanctions alerts. Recredentialing scheduled and automated.
Full audit trail
Every action timestamped, every file fully audit-ready. Pass NCQA without the manual scramble. SOC 2 Type 2 certified.
Why health plans modernize provider credentialing.
CertifyOS
- Application to approval in days
- 99.8% file-level accuracy
- PSV + committee + monitoring in one platform
- Real-time PSV via direct APIs
- Full audit trail, NCQA-certified
Manual / legacy
- 90-180 day onboarding cycles
- Spreadsheet-tracked files
- Email-driven committee review
- PSV via per-source manual lookups
- Audit prep is a 6-week scramble
FROM OUR CLIENTS
“Oscar Health unlocked 29% in annual cost savings. Alma reduced annual provider costs by 85%. Select Health hit 99.8% file-level accuracy. The numbers come from automation that just works — and from a team that shows up the way enterprise software promises but rarely delivers.”
— CertifyOS Client Outcomes